CAJ | 학술논문

目的：探讨在LASIK手术中疼痛护理联合表面麻醉是否有利于提高患者对手术的配合度，预防并发症及提高疗效。方法将2012年10月～2013年4月在川北医学院附属医院行LASIK手术的180例（360眼）近视患者随机分为对照组和观察组，各90例（180眼），两组均行常规表面麻醉。观察组联合应用疼痛干预护理，比较手术的配合度、并发症（如偏心切削）、术后3个月的LASIK手术效果。 t检验和χ2检验用于统计分析。结果观察组LASIK患者手术的配合度更好，偏心切削等并发症更低，术后疗效及术后满意率高于对照组，差异有显著意义（P＜0．01）。结论 LASIK手术中，联合应用疼痛干预护理技术，可提高患者对手术的配合度及手术效果，降低并发症。
목적：탐토재LASIK수술중동통호리연합표면마취시부유리우제고환자대수술적배합도，예방병발증급제고료효。방법장2012년10월～2013년4월재천북의학원부속의원행LASIK수술적180례（360안）근시환자수궤분위대조조화관찰조，각90례（180안），량조균행상규표면마취。관찰조연합응용동통간예호리，비교수술적배합도、병발증（여편심절삭）、술후3개월적LASIK수술효과。 t검험화χ2검험용우통계분석。결과관찰조LASIK환자수술적배합도경호，편심절삭등병발증경저，술후료효급술후만의솔고우대조조，차이유현저의의（P＜0．01）。결론 LASIK수술중，연합응용동통간예호리기술，가제고환자대수술적배합도급수술효과，강저병발증。
Objective To study the patients cooperation degree of surgery ,prevention of complication and clinical effects under topical anesthesia nursing for patients undergoing laser in situ keratomileusis (LASIK ) .Method 180 subjects (360 eyes) with LASIK surgery in our hospital from October 2012 to April 2013 were included in the study and was randomly divided into control group and observation group ,90 in each group .Patient cooperation during LASIK and complications of surgery such as eccentric ablation and postoperative satisfaction degree were used for data analysis .T‐test and X2 was used for statistical analysis .Result The cooperative for LASIK surgery in observa‐tion group was better than that of control group .Surgery complications were significantly lower than that of control group .The postoperative satisfaction degree and therapeutic effects were much higher than that of the control group (P<0 .01) .No surgical or postoperative complications such as eccentric ablation were observed .Conclusion The use of pain interventional nursing during LASIK surgery may improve patient cooperation ,therapeutic effects and reduce the postoperative complication .